A sparse additive model for treatment effect-modifier selection

Biostatistics. 2022 Apr 13;23(2):412-429. doi: 10.1093/biostatistics/kxaa032.

Abstract

Sparse additive modeling is a class of effective methods for performing high-dimensional nonparametric regression. This article develops a sparse additive model focused on estimation of treatment effect modification with simultaneous treatment effect-modifier selection. We propose a version of the sparse additive model uniquely constrained to estimate the interaction effects between treatment and pretreatment covariates, while leaving the main effects of the pretreatment covariates unspecified. The proposed regression model can effectively identify treatment effect-modifiers that exhibit possibly nonlinear interactions with the treatment variable that are relevant for making optimal treatment decisions. A set of simulation experiments and an application to a dataset from a randomized clinical trial are presented to demonstrate the method.

Keywords: Biomarkers; Individualized treatment rules; Sparse additive models; Treatment effect-modifiers.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Computer Simulation
  • Humans
  • Research Design*